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20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712677334429697_Note"></span></div><div class="itemTR" id="1463712678986985473_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-1-4-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他ICD-9-CM-3六位临床扩展编码与名称</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712678986985473" itemCode="CM-0-1-4-2-1"></div><a id="1463712678986985473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712678986985473_Note"></span></div><div class="itemTR" id="1463712680702455810_Row" dic='[{"formItemId":1463712680702455810,"isDefault":0,"updateDate":1700189310000,"code":"y","id":1463713070076473346,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463712680702455810,"isDefault":1,"updateDate":1700189310000,"code":"n","id":1463713070781116418,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-0-1-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否出院后31天内重复住院</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712680702455810" itemCode="CM-0-1-5"></div><a id="1463712680702455810_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712680702455810_Note"></span></div><p title="相关日期时间信息" class="itemsubCat">相关日期时间信息</p><div class="itemTR" id="1463712683839795201_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出生日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712683839795201" itemCode="CM-0-2-1-1"><a id="1463712683839795201_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712683839795201_Note"></span></div><div class="itemTR" id="1463712685878226945_Row" dic='[{"formItemId":1463712685878226945,"isDefault":0,"updateDate":1700189310000,"code":"M","id":1463713072161042433,"indNo":1,"isActive":1,"desc":"男"},{"formItemId":1463712685878226945,"isDefault":0,"updateDate":1700189310000,"code":"F","id":1463713072790188033,"indNo":2,"isActive":1,"desc":"女"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-2" class="itemDescTD">患者性别</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712685878226945" itemCode="CM-0-2-1-2"></div><a id="1463712685878226945_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712685878226945_Note"></span></div><div class="itemTR" id="1463712688583553026_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-3" class="itemDescTD">患者体重（kg）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712688583553026" itemCode="CM-0-2-1-3"><a id="1463712688583553026_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712688583553026_Note"></span></div><div class="itemTR" id="1463712690538098689_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-1-5" class="itemDescTD">患者身高（cm）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712690538098689" itemCode="CM-0-2-1-5"><a id="1463712690538098689_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712690538098689_Note"></span></div><div class="itemTR" id="1463712692173877250_Row" dic='[{"formItemId":1463712692173877250,"isDefault":0,"updateDate":1700189310000,"code":"UTD","id":1463713073989758978,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-1" class="itemDescTD">末次月经日期是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712692173877250" itemCode="CM-0-2-2-1"></div><a id="1463712692173877250_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712692173877250_Note"></span></div><div class="itemTR" id="1463712694006788098_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>末次月经日期</div><input placeholder="点击选择" class="Date" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712694006788098" itemCode="CM-0-2-2-2"><a id="1463712694006788098_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712694006788098_Note"></span></div><div class="itemTR" id="1463712695751618562_Row" dic='[{"formItemId":1463712695751618562,"isDefault":0,"updateDate":1700189310000,"code":"UTD","id":1463713075222884354,"indNo":1,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-1" class="itemDescTD">到达本院急诊或者门诊日期时间是否无法确定或无记录</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712695751618562" itemCode="CM-0-2-3-1"></div><a id="1463712695751618562_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712695751618562_Note"></span></div><div class="itemTR" id="1463712697425145858_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到达本院急诊或者门诊日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712697425145858" itemCode="CM-0-2-3-2"><a id="1463712697425145858_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712697425145858_Note"></span></div><div class="itemTR" id="1463712699107061761_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>入院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712699107061761" itemCode="CM-0-2-4-1"><a id="1463712699107061761_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712699107061761_Note"></span></div><div class="itemTR" id="1463712700734451713_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712700734451713" itemCode="CM-0-2-4-2"><a id="1463712700734451713_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712700734451713_Note"></span></div><div class="itemTR" id="1463712702399590401_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术开始（切皮）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712702399590401" itemCode="CM-0-2-6-1"><a id="1463712702399590401_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712702399590401_Note"></span></div><div class="itemTR" id="1463712704014397442_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-0-2-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术结束（缝皮结束）日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712704014397442" itemCode="CM-0-2-6-2"><a id="1463712704014397442_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712704014397442_Note"></span></div><p title="其他相关信息" class="itemsubCat">其他相关信息</p><div class="itemTR" id="1463712705654370306_Row" 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name="isNeeded" style="color:red">*</span>收入住院途径</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712707390812162" itemCode="CM-0-3-2"><a id="1463712707390812162_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712707390812162_Note"></span></div><div class="itemTR" id="1463712709005619201_Row" dic='[{"formItemId":1463712709005619201,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713087721910273,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712709005619201,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713088346861570,"indNo":2,"isActive":1,"desc":"救护车"},{"formItemId":1463712709005619201,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713088996978689,"indNo":3,"isActive":1,"desc":"出租车"},{"formItemId":1463712709005619201,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713089588375553,"indNo":4,"isActive":1,"desc":"私家车"},{"formItemId":1463712709005619201,"isDefault":0,"updateDate":1700189310000,"code":"d","id":1463713090460790785,"indNo":5,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-0-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到院交通工具</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712709005619201" itemCode="CM-0-3-3"><a id="1463712709005619201_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712709005619201_Note"></span></div></div><div class="itemCat" id="Title1" onclick="objScreen.toggle('DG-1患者入院病情评估')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;DG-1患者入院病情评估</div><div title="DG-1患者入院病情评估"><p title="高危因素评估" class="itemsubCat">高危因素评估</p><div class="itemTR" id="1463712711874523138_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>评估日期时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712711874523138" itemCode="DG-1-1"><a id="1463712711874523138_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712711874523138_Note"></span></div><div class="itemTR" id="1463712713942315010_Row" dic='[{"formItemId":1463712713942315010,"isDefault":0,"updateDate":1704682452000,"code":"a","matchRule":"","updateUser":"admin","id":1463713091681333249,"indNo":1,"isActive":1,"keyword":"","desc":"既往有过1次异位妊娠病史"},{"formItemId":1463712713942315010,"isDefault":0,"updateDate":1704682452000,"code":"b","matchRule":"","updateUser":"admin","id":1463713092318867458,"indNo":2,"isActive":1,"keyword":"","desc":"既往有过2次异位妊娠病史"},{"formItemId":1463712713942315010,"isDefault":0,"updateDate":1704682452000,"code":"c","matchRule":"","updateUser":"admin","id":1463713093065453570,"indNo":3,"isActive":1,"keyword":"","desc":"输卵管损伤史"},{"formItemId":1463712713942315010,"isDefault":0,"updateDate":1704682452000,"code":"d","matchRule":"","updateUser":"admin","id":1463713093698793473,"indNo":4,"isActive":1,"keyword":"","desc":"盆腔炎性疾病史"},{"formItemId":1463712713942315010,"isDefault":0,"updateDate":1704682452000,"code":"e","matchRule":"","updateUser":"admin","id":1463713094491516929,"indNo":5,"isActive":1,"keyword":"","desc":"盆腔或输卵管手术史"},{"formItemId":1463712713942315010,"isDefault":0,"updateDate":1704682452000,"code":"f","matchRule":"","updateUser":"admin","id":1463713095233908738,"indNo":6,"isActive":1,"keyword":"","desc":"不孕症病史"},{"formItemId":1463712713942315010,"isDefault":0,"updateDate":1704682452000,"code":"g","matchRule":"","updateUser":"admin","id":1463713095833694210,"indNo":7,"isActive":1,"keyword":"","desc":"吸烟史"},{"formItemId":1463712713942315010,"isDefault":0,"updateDate":1704682452000,"code":"h","matchRule":"","updateUser":"admin","id":1463713096479617026,"indNo":8,"isActive":1,"keyword":"","desc":"年龄&gt;35岁"},{"formItemId":1463712713942315010,"isDefault":0,"updateDate":1704682452000,"code":"i","matchRule":"","updateUser":"admin","id":1463713097075208194,"indNo":9,"isActive":1,"keyword":"","desc":"接受辅助生殖技术受孕的妇女"},{"formItemId":1463712713942315010,"isDefault":0,"updateDate":1704682452000,"code":"j","matchRule":"","updateUser":"admin","id":1463713097683382274,"indNo":10,"isActive":1,"keyword":"","desc":"使用宫内节育器带环妊娠"},{"formItemId":1463712713942315010,"isDefault":0,"updateDate":1704682452000,"code":"oth","matchRule":"","updateUser":"admin","id":1463713098304139266,"indNo":11,"isActive":1,"keyword":"","desc":"其他"},{"formItemId":1463712713942315010,"isDefault":1,"updateDate":1704682452000,"code":"UTD","matchRule":"","updateUser":"admin","id":1463713098954256385,"indNo":12,"isActive":1,"keyword":"","desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="DG-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>高危因素的选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463712713942315010" itemCode="DG-1-2"></div><a id="1463712713942315010_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712713942315010_Note"></span></div><div class="itemTR" id="1463712715615842305_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-1-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他高危因素填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712715615842305" itemCode="DG-1-2-1"><a id="1463712715615842305_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712715615842305_Note"></span></div><div class="itemTR" id="1463712717243232258_Row" dic='[{"formItemId":1463712717243232258,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713100199964673,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712717243232258,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713100803944450,"indNo":2,"isActive":1,"desc":"＜42天"},{"formItemId":1463712717243232258,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713101420507138,"indNo":3,"isActive":1,"desc":"42-56天"},{"formItemId":1463712717243232258,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713102037069825,"indNo":4,"isActive":1,"desc":"＞56天"},{"formItemId":1463712717243232258,"isDefault":0,"updateDate":1700189310000,"code":"UTD","id":1463713102846570497,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="DG-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>妊娠周数</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712717243232258" itemCode="DG-1-3-1"><a id="1463712717243232258_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712717243232258_Note"></span></div><div class="itemTR" id="1463712719071948802_Row" dic='[{"formItemId":1463712719071948802,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713104058724353,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712719071948802,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713104675287041,"indNo":2,"isActive":1,"desc":"无"},{"formItemId":1463712719071948802,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713105270878210,"indNo":3,"isActive":1,"desc":"隐痛"},{"formItemId":1463712719071948802,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713105866469377,"indNo":4,"isActive":1,"desc":"剧痛"},{"formItemId":1463712719071948802,"isDefault":0,"updateDate":1700189310000,"code":"UTD","id":1463713106483032065,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="DG-1-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>腹痛程度的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712719071948802" itemCode="DG-1-3-2"><a id="1463712719071948802_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712719071948802_Note"></span></div><div class="itemTR" id="1463712720992940033_Row" dic='[{"formItemId":1463712720992940033,"isDefault":0,"updateDate":1704682526000,"code":"def","matchRule":"","updateUser":"admin","id":1463713107674214402,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463712720992940033,"isDefault":0,"updateDate":1704682526000,"code":"a","matchRule":"","updateUser":"admin","id":1463713108278194178,"indNo":2,"isActive":1,"keyword":"","desc":"血流动力学不稳定,低血压（＜100/60 mmHg）"},{"formItemId":1463712720992940033,"isDefault":0,"updateDate":1704682526000,"code":"b","matchRule":"","updateUser":"admin","id":1463713108915728385,"indNo":3,"isActive":1,"keyword":"","desc":"血流动力学不稳定,心动过速（＞100次/min）"},{"formItemId":1463712720992940033,"isDefault":1,"updateDate":1704682526000,"code":"c","matchRule":"","updateUser":"admin","id":1463713109519708162,"indNo":4,"isActive":1,"keyword":"","desc":"生命体征平稳"},{"formItemId":1463712720992940033,"isDefault":0,"updateDate":1704682526000,"code":"UTD","matchRule":"","updateUser":"admin","id":1463713110241128449,"indNo":5,"isActive":1,"keyword":"","desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="DG-1-2-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>生命体征是否平稳</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712720992940033" itemCode="DG-1-2-4"><a id="1463712720992940033_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712720992940033_Note"></span></div><p title="超声诊断" class="itemsubCat">超声诊断</p><div class="itemTR" id="1463712722708410369_Row" dic='[{"formItemId":1463712722708410369,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713111579111425,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712722708410369,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713112195674114,"indNo":2,"isActive":1,"desc":"经腹部超声"},{"formItemId":1463712722708410369,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713112799653889,"indNo":3,"isActive":1,"desc":"经阴道超声"}]'><div style="display:inline-block;width:35%;" title="DG-1-3-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>超声检查途径的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712722708410369" itemCode="DG-1-3-4-1"><a id="1463712722708410369_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712722708410369_Note"></span></div><div class="itemTR" id="1463712724373549058_Row" dic='[{"formItemId":1463712724373549058,"isDefault":0,"updateDate":1704682629000,"code":"a","matchRule":"","updateUser":"admin","id":1463713114120859649,"indNo":1,"isActive":1,"keyword":"(卵黄囊|胚芽)","desc":"附件区可见含有卵黄囊和（或）胚芽的宫外孕囊"},{"formItemId":1463712724373549058,"isDefault":0,"updateDate":1704682629000,"code":"b","matchRule":"","updateUser":"admin","id":1463713114779365377,"indNo":2,"isActive":1,"keyword":"肿块","desc":"附件区独立于卵巢的肿块或包含低回声的肿块"},{"formItemId":1463712724373549058,"isDefault":0,"updateDate":1704682629000,"code":"c","matchRule":"","updateUser":"admin","id":1463713116960403457,"indNo":3,"isActive":1,"keyword":"宫内妊娠","desc":"宫腔内囊性结构提示宫内妊娠"},{"formItemId":1463712724373549058,"isDefault":0,"updateDate":1704682629000,"code":"d","matchRule":"","updateUser":"admin","id":1463713117555994625,"indNo":4,"isActive":1,"keyword":"无回声","desc":"宫腔内见无回声囊性结构、附件区未见包块"},{"formItemId":1463712724373549058,"isDefault":0,"updateDate":1704682629000,"code":"e","matchRule":"","updateUser":"admin","id":1463713118168363009,"indNo":5,"isActive":1,"keyword":"","desc":"无阳性记录"},{"formItemId":1463712724373549058,"isDefault":0,"updateDate":1704682629000,"code":"oth","matchRule":"","updateUser":"admin","id":1463713118763954177,"indNo":6,"isActive":1,"keyword":"","desc":"其他"},{"formItemId":1463712724373549058,"isDefault":0,"updateDate":1704682629000,"code":"UTD","matchRule":"","updateUser":"admin","id":1463713119686701057,"indNo":7,"isActive":1,"keyword":"","desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="DG-1-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>超声检查描述</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463712724373549058" itemCode="DG-1-2-2-2"></div><a id="1463712724373549058_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712724373549058_Note"></span></div><div class="itemTR" id="1463712726424563713_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-1-2-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他超声检查描述</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712726424563713" itemCode="DG-1-2-2-2-1"></div><a id="1463712726424563713_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712726424563713_Note"></span></div><div class="itemTR" id="1463712728144228354_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-1-2-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>子宫内膜厚度(mm)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712728144228354" itemCode="DG-1-2-2-3"><a id="1463712728144228354_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712728144228354_Note"></span></div><div class="itemTR" id="1463712729775812610_Row" dic='[{"formItemId":1463712729775812610,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713120974352385,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712729775812610,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713121720938497,"indNo":2,"isActive":1,"desc":"＜3cm"},{"formItemId":1463712729775812610,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713123302191105,"indNo":3,"isActive":1,"desc":"3～5cm"},{"formItemId":1463712729775812610,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713123893587970,"indNo":4,"isActive":1,"desc":"＞5cm"},{"formItemId":1463712729775812610,"isDefault":0,"updateDate":1700189310000,"code":"UTD","id":1463713124493373442,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="DG-1-3-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>输卵管妊娠包块最大径的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712729775812610" itemCode="DG-1-3-4-2"><a id="1463712729775812610_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712729775812610_Note"></span></div><div class="itemTR" id="1463712731440951297_Row" dic='[{"formItemId":1463712731440951297,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713125697138690,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712731440951297,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713126313701378,"indNo":2,"isActive":1,"desc":"＜3cm"},{"formItemId":1463712731440951297,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713126947041282,"indNo":3,"isActive":1,"desc":"3～6cm"},{"formItemId":1463712731440951297,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713127542632450,"indNo":4,"isActive":1,"desc":"＞6cm"},{"formItemId":1463712731440951297,"isDefault":0,"updateDate":1700189310000,"code":"UTD","id":1463713128222109697,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="DG-1-3-4-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>盆腔内出血量最大径的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712731440951297" itemCode="DG-1-3-4-3"><a id="1463712731440951297_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712731440951297_Note"></span></div><div class="itemTR" id="1463712733169004545_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-1-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到院首次B超检查提示异位妊娠征象报告的时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712733169004545" itemCode="DG-1-4"><a id="1463712733169004545_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712733169004545_Note"></span></div><p title="β-HCG（人绒毛膜促性腺激素）测定值以及其相关比值" class="itemsubCat">β-HCG（人绒毛膜促性腺激素）测定值以及其相关比值</p><div class="itemTR" id="1463712734800588802_Row" dic='[{"formItemId":1463712734800588802,"isDefault":0,"updateDate":1700189310000,"code":"y","id":1463713129639784449,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463712734800588802,"isDefault":0,"updateDate":1700189310000,"code":"n","id":1463713130373787649,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="DG-1-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否进行β-HCG测定</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712734800588802" itemCode="DG-1-3-1-1"></div><a id="1463712734800588802_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712734800588802_Note"></span></div><div class="itemTR" id="1463712736482504705_Row" dic='[{"formItemId":1463712736482504705,"isDefault":0,"updateDate":1704682941000,"code":"a","matchRule":"","updateUser":"admin","id":1463713133079113729,"indNo":1,"isActive":1,"keyword":"","desc":"静脉血hCG测定值"},{"formItemId":1463712736482504705,"isDefault":0,"updateDate":1704682941000,"code":"b","matchRule":"","updateUser":"admin","id":1463713133670510593,"indNo":2,"isActive":1,"keyword":"","desc":"腹腔血hCG测定值"},{"formItemId":1463712736482504705,"isDefault":0,"updateDate":1704682941000,"code":"c","matchRule":"","updateUser":"admin","id":1463713134266101761,"indNo":3,"isActive":1,"keyword":"","desc":"阴道血hCG测定值"},{"formItemId":1463712736482504705,"isDefault":0,"updateDate":1704682941000,"code":"d","matchRule":"","updateUser":"admin","id":1463713134878470145,"indNo":4,"isActive":1,"keyword":"","desc":"尿hCG测定结果"},{"formItemId":1463712736482504705,"isDefault":0,"updateDate":1704682941000,"code":"e","matchRule":"","updateUser":"admin","id":1463713135486644225,"indNo":5,"isActive":1,"keyword":"","desc":"到院首次β-HCG测定报告的时间"},{"formItemId":1463712736482504705,"isDefault":0,"updateDate":1704682941000,"code":"f","matchRule":"","updateUser":"admin","id":1463713136468111362,"indNo":6,"isActive":1,"keyword":"","desc":"血清hCG阴道超声阈值"},{"formItemId":1463712736482504705,"isDefault":0,"updateDate":1704682941000,"code":"g","matchRule":"","updateUser":"admin","id":1463713137084674049,"indNo":7,"isActive":1,"keyword":"","desc":"腹腔血与静脉血hCG比值（Rp/v-hCG）"},{"formItemId":1463712736482504705,"isDefault":0,"updateDate":1704682941000,"code":"h","matchRule":"","updateUser":"admin","id":1463713137726402561,"indNo":8,"isActive":1,"keyword":"","desc":"静脉血与阴道血hCG比值（Rv/c-hCG）"}]'><div style="display:inline-block;width:35%;" title="DG-1-3-0" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>hCG测定方式选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463712736482504705" itemCode="DG-1-3-0"></div><a id="1463712736482504705_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712736482504705_Note"></span></div><div class="itemTR" id="1463712738189586434_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-1-3-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>静脉血hCG测定值(U/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712738189586434" itemCode="DG-1-3-2-1"><a id="1463712738189586434_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712738189586434_Note"></span></div><div class="itemTR" id="1463712739967971330_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-1-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>腹腔血hCG测定值(U/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712739967971330" itemCode="DG-1-3-3"><a id="1463712739967971330_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712739967971330_Note"></span></div><div class="itemTR" id="1463712743084339201_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-1-3-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>阴道血hCG测定值(U/L)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712743084339201" itemCode="DG-1-3-4"><a id="1463712743084339201_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712743084339201_Note"></span></div><div class="itemTR" id="1463712744946610178_Row" dic='[{"formItemId":1463712744946610178,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713139311849473,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712744946610178,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713139928412161,"indNo":2,"isActive":1,"desc":"阳性"},{"formItemId":1463712744946610178,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713140599500801,"indNo":3,"isActive":1,"desc":"阴性"}]'><div style="display:inline-block;width:35%;" title="DG-1-3-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>尿hCG测定结果</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712744946610178" itemCode="DG-1-3-5"><a id="1463712744946610178_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712744946610178_Note"></span></div><div class="itemTR" id="1463712746590777345_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-1-3-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到院首次β-HCG测定报告的时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712746590777345" itemCode="DG-1-3-6"><a id="1463712746590777345_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712746590777345_Note"></span></div><div class="itemTR" id="1463712748293664769_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-1-3-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血清hCG阴道超声阈值</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712748293664769" itemCode="DG-1-3-7"><a id="1463712748293664769_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712748293664769_Note"></span></div><div class="itemTR" id="1463712750181101570_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-1-3-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>腹腔血与静脉血hCG比值（Rp/v-hCG）</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712750181101570" itemCode="DG-1-3-8"><a id="1463712750181101570_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712750181101570_Note"></span></div><div class="itemTR" id="1463712752190173186_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-1-3-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>静脉血与阴道血hCG比值（Rv/c-hCG）</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712752190173186" itemCode="DG-1-3-9"><a id="1463712752190173186_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712752190173186_Note"></span></div><p title="后穹隆或腹腔穿刺" class="itemsubCat">后穹隆或腹腔穿刺</p><div class="itemTR" id="1463712754106970114_Row" dic='[{"formItemId":1463712754106970114,"isDefault":0,"updateDate":1700189310000,"code":"y","id":1463713141799071746,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463712754106970114,"isDefault":0,"updateDate":1700189310000,"code":"n","id":1463713142407245826,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="DG-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否进行穿刺</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712754106970114" itemCode="DG-1-4-1"></div><a id="1463712754106970114_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712754106970114_Note"></span></div><div class="itemTR" id="1463712755885355010_Row" dic='[{"formItemId":1463712755885355010,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713143854280705,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712755885355010,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713144777027586,"indNo":2,"isActive":1,"desc":"后穹隆穿刺"},{"formItemId":1463712755885355010,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713145368424450,"indNo":3,"isActive":1,"desc":"腹腔穿刺"},{"formItemId":1463712755885355010,"isDefault":0,"updateDate":1700189310000,"code":"UTD","id":1463713145993375745,"indNo":4,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="DG-1-4-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>穿刺部位</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712755885355010" itemCode="DG-1-4-2"><a id="1463712755885355010_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712755885355010_Note"></span></div><div class="itemTR" id="1463712757592436738_Row" dic='[{"formItemId":1463712757592436738,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713147255861250,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712757592436738,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713147918561282,"indNo":2,"isActive":1,"desc":"不凝红色液"},{"formItemId":1463712757592436738,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713148518346754,"indNo":3,"isActive":1,"desc":"无阳性发现"}]'><div style="display:inline-block;width:35%;" title="DG-1-4-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>后穹隆穿刺</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712757592436738" itemCode="DG-1-4-3"><a id="1463712757592436738_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712757592436738_Note"></span></div><div class="itemTR" id="1463712759291129857_Row" dic='[{"formItemId":1463712759291129857,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713149705334786,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712759291129857,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713150300925953,"indNo":2,"isActive":1,"desc":"不凝红色液"},{"formItemId":1463712759291129857,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713150917488641,"indNo":3,"isActive":1,"desc":"无阳性发现"}]'><div style="display:inline-block;width:35%;" title="DG-1-4-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>腹腔穿刺</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712759291129857" itemCode="DG-1-4-4"><a id="1463712759291129857_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712759291129857_Note"></span></div><div class="itemTR" id="1463712760981434370_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-1-4-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>到院首次穿刺的时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712760981434370" itemCode="DG-1-4-5"><a id="1463712760981434370_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712760981434370_Note"></span></div><p title="住院治疗方式的选择" class="itemsubCat">住院治疗方式的选择</p><div class="itemTR" id="1463712762881454082_Row" dic='[{"formItemId":1463712762881454082,"isDefault":0,"updateDate":1704683726000,"code":"def","matchRule":"","updateUser":"admin","id":1463713152108670977,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463712762881454082,"isDefault":0,"updateDate":1704683726000,"code":"a","matchRule":"","updateUser":"admin","id":1463713152733622273,"indNo":2,"isActive":1,"keyword":"","desc":"紧急手术"},{"formItemId":1463712762881454082,"isDefault":1,"updateDate":1704683726000,"code":"b","matchRule":"","updateUser":"admin","id":1463713153337602049,"indNo":3,"isActive":1,"keyword":"","desc":"择期手术"},{"formItemId":1463712762881454082,"isDefault":0,"updateDate":1704683726000,"code":"c","matchRule":"","updateUser":"admin","id":1463713153983524865,"indNo":4,"isActive":1,"keyword":"","desc":"药物治疗"},{"formItemId":1463712762881454082,"isDefault":0,"updateDate":1704683726000,"code":"d","matchRule":"","updateUser":"admin","id":1463713154612670465,"indNo":5,"isActive":1,"keyword":"","desc":"期待治疗"}]'><div 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title="DG-1-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>需紧急手术的病情严重程度评估</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712764596924417" itemCode="DG-1-5-2"><a id="1463712764596924417_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712764596924417_Note"></span></div><div class="itemTR" id="1463712766291423234_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-1-5-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他需紧急手术的病情严重程度评估</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712766291423234" itemCode="DG-1-5-2-1"><a id="1463712766291423234_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712766291423234_Note"></span></div><div class="itemTR" id="1463712768698953729_Row" dic='[{"formItemId":1463712768698953729,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713160136568834,"indNo":1,"isActive":1,"desc":"无腹痛或合并轻微腹痛的病情稳定患者"},{"formItemId":1463712768698953729,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713160753131521,"indNo":2,"isActive":1,"desc":"超声未提示有明显的腹腔内出血"},{"formItemId":1463712768698953729,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713162720260098,"indNo":3,"isActive":1,"desc":"输卵管妊娠肿块平均直径不超过30 mm且没有心管搏动"},{"formItemId":1463712768698953729,"isDefault":0,"updateDate":1700189310000,"code":"d","id":1463713163429097473,"indNo":4,"isActive":1,"desc":"血清hCG水平<1000~2000 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style="display:inline-block;width:35%;" title="DG-1-5-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他期待治疗纳入标准</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712771957927937" itemCode="DG-1-5-3-1"><a id="1463712771957927937_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712771957927937_Note"></span></div></div><div class="itemCat" id="Title2" onclick="objScreen.toggle('DG-2药物治疗情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;DG-2药物治疗情况</div><div title="DG-2药物治疗情况"><p title="药物治疗适应症禁忌症" class="itemsubCat">药物治疗适应症禁忌症</p><div class="itemTR" id="1463712773836976130_Row" 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style="display:inline-block;width:35%;" title="DG-2-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药物治疗禁忌症的选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463712777603461122" itemCode="DG-2-1-3"></div><a id="1463712777603461122_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712777603461122_Note"></span></div><div class="itemTR" id="1463712779390234625_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-2-1-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他药物治疗禁忌症填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712779390234625" itemCode="DG-2-1-3-1"><a id="1463712779390234625_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712779390234625_Note"></span></div><div class="itemTR" 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class="itemsubCat">甲氨蝶呤（MTX）给药方案</p><div class="itemTR" id="1463712788277964801_Row" dic='[{"formItemId":1463712788277964801,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713188695584769,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712788277964801,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713189324730369,"indNo":2,"isActive":1,"desc":"单剂量方案"},{"formItemId":1463712788277964801,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713189966458882,"indNo":3,"isActive":1,"desc":"二次剂量方案"},{"formItemId":1463712788277964801,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713190683684865,"indNo":4,"isActive":1,"desc":"多剂量方案"}]'><div style="display:inline-block;width:35%;" title="DG-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>甲氨蝶呤（MTX）给药方案</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712788277964801" itemCode="DG-2-3"><a id="1463712788277964801_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712788277964801_Note"></span></div><p title="接受甲氨蝶呤（MTX）治疗的患者需要被告知" class="itemsubCat">接受甲氨蝶呤（MTX）治疗的患者需要被告知</p><div class="itemTR" id="1463712791344001026_Row" 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style="display:inline-block;width:35%;" title="DG-2-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>接受甲氨蝶呤（MTX）治疗患者的用药教育</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463712791344001026" itemCode="DG-2-4-1"></div><a id="1463712791344001026_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712791344001026_Note"></span></div></div><div class="itemCat" id="Title3" onclick="objScreen.toggle('DG-3手术治疗情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;DG-3手术治疗情况</div><div title="DG-3手术治疗情况"><p title="手术时机的具体时间要求" class="itemsubCat">手术时机的具体时间要求</p><div class="itemTR" id="1463712792950419457_Row" dic='[{"formItemId":1463712792950419457,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713196505378818,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712792950419457,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713197189050369,"indNo":2,"isActive":1,"desc":"有生命体征不稳定，输卵管妊娠破裂的症状（盆腔疼痛、腹腔内出血）（推荐等级A），需在明确诊断30分钟内需要紧急手术"},{"formItemId":1463712792950419457,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713197935636482,"indNo":3,"isActive":1,"desc":"有药物治疗绝对禁忌证"},{"formItemId":1463712792950419457,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713198539616258,"indNo":4,"isActive":1,"desc":"药物治疗失败需行手术治疗"},{"formItemId":1463712792950419457,"isDefault":0,"updateDate":1700189310000,"code":"d","id":1463713199181344769,"indNo":5,"isActive":1,"desc":"有药物治疗相对禁忌证，经考虑行手术治疗"},{"formItemId":1463712792950419457,"isDefault":0,"updateDate":1700189310000,"code":"e","id":1463713199814684673,"indNo":6,"isActive":1,"desc":"临床病情稳定的患者，或与其他有指征的手术同时进行"},{"formItemId":1463712792950419457,"isDefault":0,"updateDate":1700189310000,"code":"oth","id":1463713200427053058,"indNo":7,"isActive":1,"desc":"其他（用文字说明）"}]'><div style="display:inline-block;width:35%;" title="DG-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术的指征的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712792950419457" itemCode="DG-3-1-1"><a id="1463712792950419457_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712792950419457_Note"></span></div><div class="itemTR" id="1463712794602975234_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-3-1-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他手术的指征</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712794602975234" itemCode="DG-3-1-1-1"><a id="1463712794602975234_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712794602975234_Note"></span></div><p title="手术方式选择" class="itemsubCat">手术方式选择</p><div class="itemTR" id="1463712796251336706_Row" dic='[{"formItemId":1463712796251336706,"isDefault":0,"updateDate":1704684935000,"code":"def","matchRule":"","updateUser":"admin","id":1463713201786007554,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463712796251336706,"isDefault":0,"updateDate":1704684935000,"code":"a","matchRule":"","updateUser":"admin","id":1463713202540982274,"indNo":2,"isActive":1,"keyword":"腹腔镜","desc":"腹腔镜手术"},{"formItemId":1463712796251336706,"isDefault":0,"updateDate":1704684935000,"code":"b","matchRule":"","updateUser":"admin","id":1463713204948512769,"indNo":3,"isActive":1,"keyword":"开腹","desc":"开腹手术"},{"formItemId":1463712796251336706,"isDefault":0,"updateDate":1704684935000,"code":"oth","matchRule":"","updateUser":"admin","id":1463713205556686850,"indNo":4,"isActive":1,"keyword":"","desc":"其他"}]'><div style="display:inline-block;width:35%;" title="DG-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术方式选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712796251336706" itemCode="DG-3-2"><a id="1463712796251336706_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712796251336706_Note"></span></div><div class="itemTR" id="1463712797916475394_Row" dic='[{"formItemId":1463712797916475394,"isDefault":0,"updateDate":1704685152000,"code":"def","matchRule":"","updateUser":"admin","id":1463713206814978050,"indNo":1,"isActive":1,"keyword":"","desc":"请选择"},{"formItemId":1463712797916475394,"isDefault":0,"updateDate":1704685152000,"code":"a","matchRule":"","updateUser":"admin","id":1463713207825805314,"indNo":2,"isActive":1,"keyword":"切除","desc":"行输卵管切除术：有生育要求的患者如果对侧输卵管正常，也可以考虑行输卵管切除术（推荐等级B）"},{"formItemId":1463712797916475394,"isDefault":0,"updateDate":1704685152000,"code":"b","matchRule":"","updateUser":"admin","id":1463713208433979393,"indNo":3,"isActive":1,"keyword":"切开","desc":"行输卵管切开取胚术：既往有异位妊娠史、一侧输卵管损伤、腹部手术史、盆腔炎性疾病史的患者行输卵管切开取胚术，其术后自然妊娠率高于行输卵管切除术者（推荐等级B）"},{"formItemId":1463712797916475394,"isDefault":0,"updateDate":1704685152000,"code":"oth","matchRule":"","updateUser":"admin","id":1463713209067319297,"indNo":4,"isActive":1,"keyword":"","desc":"其他"}]'><div style="display:inline-block;width:35%;" title="DG-3-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>腹腔镜手术术式选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712797916475394" itemCode="DG-3-2-2"><a id="1463712797916475394_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712797916475394_Note"></span></div><div class="itemTR" id="1463712799522893825_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-3-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他腹腔镜手术术式</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712799522893825" itemCode="DG-3-2-2-1"><a id="1463712799522893825_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712799522893825_Note"></span></div><div class="itemTR" id="1463712801150283778_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-3-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他手术方式</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712801150283778" itemCode="DG-3-2-1"><a id="1463712801150283778_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712801150283778_Note"></span></div><div class="itemTR" id="1463712802853171202_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-3-3-3" class="itemDescTD">手术持续时间(分钟)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712802853171202" itemCode="DG-3-3-3"><a id="1463712802853171202_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712802853171202_Note"></span></div></div><div class="itemCat" id="Title4" onclick="objScreen.toggle('DG-4 围术期抗菌药物使用情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;DG-4 围术期抗菌药物使用情况</div><div title="DG-4 围术期抗菌药物使用情况"><p title="预防性使用抗菌药物" class="itemsubCat">预防性使用抗菌药物</p><div class="itemTR" id="1463712804522504194_Row" dic='[{"formItemId":1463712804522504194,"isDefault":0,"updateDate":1700189310000,"code":"y","id":1463713210271084545,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463712804522504194,"isDefault":0,"updateDate":1700189310000,"code":"n","id":1463713210870870017,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="DG-4-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗的患者，是否预防性用药</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712804522504194" itemCode="DG-4-1-1"></div><a id="1463712804522504194_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712804522504194_Note"></span></div><div class="itemTR" id="1463712806166671361_Row" dic='[{"formItemId":1463712806166671361,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713212066246658,"indNo":1,"isActive":1,"desc":"阴道流血≥7天"},{"formItemId":1463712806166671361,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713212657643521,"indNo":2,"isActive":1,"desc":"腹腔内积血≥7天,未完全吸收"},{"formItemId":1463712806166671361,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713213303566337,"indNo":3,"isActive":1,"desc":"不使用者"}]'><div style="display:inline-block;width:35%;" title="DG-4-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药物治疗的患者</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712806166671361" itemCode="DG-4-1-2"><a id="1463712806166671361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712806166671361_Note"></span></div><p title="预防性抗菌药物选择" class="itemsubCat">预防性抗菌药物选择</p><div class="itemTR" id="1463712807844392962_Row" dic='[{"formItemId":1463712807844392962,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713214519914497,"indNo":1,"isActive":1,"desc":"青霉素类"},{"formItemId":1463712807844392962,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713215128088577,"indNo":2,"isActive":1,"desc":"多西环素"},{"formItemId":1463712807844392962,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713216155693057,"indNo":3,"isActive":1,"desc":"大环内酯类"},{"formItemId":1463712807844392962,"isDefault":0,"updateDate":1700189310000,"code":"d","id":1463713216797421570,"indNo":4,"isActive":1,"desc":"第一代或第二代头孢菌素"},{"formItemId":1463712807844392962,"isDefault":0,"updateDate":1700189310000,"code":"e","id":1463713217401401346,"indNo":5,"isActive":1,"desc":"喹诺酮类"},{"formItemId":1463712807844392962,"isDefault":0,"updateDate":1700189310000,"code":"f","id":1463713217996992513,"indNo":6,"isActive":1,"desc":"β-内酰胺类/β-内酰胺酶抑制剂"},{"formItemId":1463712807844392962,"isDefault":0,"updateDate":1700189310000,"code":"g","id":1463713218600972290,"indNo":7,"isActive":1,"desc":"碳青霉烯类及替加环素等特殊使用级抗菌药物"},{"formItemId":1463712807844392962,"isDefault":0,"updateDate":1700189310000,"code":"oth","id":1463713219196563458,"indNo":8,"isActive":1,"desc":"其他"}]'><div style="display:inline-block;width:35%;" title="CM-1-2-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>预防性抗菌药物选择</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463712807844392962" itemCode="CM-1-2-1-2"></div><a id="1463712807844392962_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712807844392962_Note"></span></div><div class="itemTR" id="1463712809496948738_Row" dic='[{"formItemId":1463712809496948738,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713220417105922,"indNo":1,"isActive":1,"desc":"替加环素"},{"formItemId":1463712809496948738,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713221016891394,"indNo":2,"isActive":1,"desc":"亚胺培南西司他丁钠"},{"formItemId":1463712809496948738,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713221641842690,"indNo":3,"isActive":1,"desc":"美罗培南"},{"formItemId":1463712809496948738,"isDefault":0,"updateDate":1700189310000,"code":"d","id":1463713222409400322,"indNo":4,"isActive":1,"desc":"厄他培南"},{"formItemId":1463712809496948738,"isDefault":0,"updateDate":1700189310000,"code":"e","id":1463713223059517441,"indNo":5,"isActive":1,"desc":"比阿培南"},{"formItemId":1463712809496948738,"isDefault":0,"updateDate":1700189310000,"code":"f","id":1463713223663497218,"indNo":6,"isActive":1,"desc":"万古霉素"},{"formItemId":1463712809496948738,"isDefault":0,"updateDate":1700189310000,"code":"g","id":1463713224506552321,"indNo":7,"isActive":1,"desc":"去甲万古霉素"},{"formItemId":1463712809496948738,"isDefault":0,"updateDate":1700189310000,"code":"oth","id":1463713225093754882,"indNo":8,"isActive":1,"desc":"其他特殊使用级抗菌药物"}]'><div style="display:inline-block;width:35%;" title="CM-1-2-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选择碳青霉烯类及替加环素等特殊使用级抗菌药物</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463712809496948738" itemCode="CM-1-2-2-2"></div><a id="1463712809496948738_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712809496948738_Note"></span></div><div class="itemTR" id="1463712811136921601_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-2-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他特殊使用级抗菌药物名称</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712811136921601" itemCode="CM-1-2-2-1"><a id="1463712811136921601_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712811136921601_Note"></span></div><div class="itemTR" id="1463712812789477377_Row" dic='[{"formItemId":1463712812789477377,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713226301714434,"indNo":1,"isActive":1,"desc":"临床医师认为有使用规范内的抗菌药物治疗的禁忌症者"},{"formItemId":1463712812789477377,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713226909888514,"indNo":2,"isActive":1,"desc":"甲氧西林葡萄球菌发生率高的医疗机构，可选用去甲万古霉素预防感染"},{"formItemId":1463712812789477377,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713227513868289,"indNo":3,"isActive":1,"desc":"临床主任医师下达医嘱，认为有使用《特殊使用级抗菌药物》的指征"},{"formItemId":1463712812789477377,"isDefault":0,"updateDate":1700189310000,"code":"oth","id":1463713228130430977,"indNo":4,"isActive":1,"desc":"其他因素"},{"formItemId":1463712812789477377,"isDefault":0,"updateDate":1700189310000,"code":"UTD","id":1463713228726022146,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-1-3-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选用“特殊使用级抗菌药物”或者其他类抗菌药物的因素</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463712812789477377" itemCode="CM-1-3-1-2"></div><a id="1463712812789477377_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712812789477377_Note"></span></div><div class="itemTR" id="1463712814437838850_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>选用“特殊使用级抗菌药物”或者其他类抗菌药物的因素填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712814437838850" itemCode="CM-1-3-1-1"><a id="1463712814437838850_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712814437838850_Note"></span></div><div class="itemTR" id="1463712816086200322_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术前使用首剂抗菌药物起始时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712816086200322" itemCode="CM-1-4-1"><a id="1463712816086200322_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712816086200322_Note"></span></div><p title="术中追加抗菌药物" class="itemsubCat">术中追加抗菌药物</p><div class="itemTR" id="1463712817701007361_Row" dic='[{"formItemId":1463712817701007361,"isDefault":0,"updateDate":1704685419000,"code":"y","matchRule":"","updateUser":"admin","id":1463713229913010178,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463712817701007361,"isDefault":1,"updateDate":1704685419000,"code":"n","matchRule":"","updateUser":"admin","id":1463713230516989953,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术时间是否≥3小时</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712817701007361" itemCode="CM-1-5-1"></div><a id="1463712817701007361_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712817701007361_Note"></span></div><div class="itemTR" id="1463712819479392257_Row" dic='[{"formItemId":1463712819479392257,"isDefault":0,"updateDate":1700189310000,"code":"y","id":1463713231729143809,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463712819479392257,"isDefault":0,"updateDate":1700189310000,"code":"n","id":1463713232345706497,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否术中追加抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712819479392257" itemCode="CM-1-5-2"></div><a id="1463712819479392257_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712819479392257_Note"></span></div><div class="itemTR" id="1463712821165502466_Row" dic='[{"formItemId":1463712821165502466,"isDefault":0,"updateDate":1704685441000,"code":"y","matchRule":"","updateUser":"admin","id":1463713233805324290,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463712821165502466,"isDefault":1,"updateDate":1704685441000,"code":"n","matchRule":"","updateUser":"admin","id":1463713234451247105,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术中出血量是否≥1500ml</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712821165502466" itemCode="CM-1-5-3"></div><a id="1463712821165502466_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712821165502466_Note"></span></div><div class="itemTR" id="1463712824277676033_Row" dic='[{"formItemId":1463712824277676033,"isDefault":0,"updateDate":1700189310000,"code":"y","id":1463713235671789569,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463712824277676033,"isDefault":0,"updateDate":1700189310000,"code":"n","id":1463713236288352257,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-1-5-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否术中追加抗菌药物</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712824277676033" itemCode="CM-1-5-4"></div><a id="1463712824277676033_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712824277676033_Note"></span></div><div class="itemTR" id="1463712826005729281_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-1-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后抗菌药物停止使用时间</div><input placeholder="点击选择" class="DateT" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712826005729281" itemCode="CM-1-6-1"><a id="1463712826005729281_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712826005729281_Note"></span></div><div class="itemTR" id="1463712827616342018_Row" dic='[{"formItemId":1463712827616342018,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713237664083969,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712827616342018,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713238284840962,"indNo":2,"isActive":1,"desc":"术后24小时内结束使用"},{"formItemId":1463712827616342018,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713238905597954,"indNo":3,"isActive":1,"desc":"术后48小时内结束使用"},{"formItemId":1463712827616342018,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713239551520769,"indNo":4,"isActive":1,"desc":"术后72小时内结束使用"},{"formItemId":1463712827616342018,"isDefault":0,"updateDate":1700189310000,"code":"d","id":1463713240197443585,"indNo":5,"isActive":1,"desc":"术后72小时之后继续使用"}]'><div style="display:inline-block;width:35%;" title="CM-1-6-2" class="itemDescTD">使用抗菌药物时间使用时间分层</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712827616342018" itemCode="CM-1-6-2"><a id="1463712827616342018_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712827616342018_Note"></span></div><div class="itemTR" id="1463712829294063618_Row" dic='[{"formItemId":1463712829294063618,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713241422180353,"indNo":1,"isActive":1,"desc":"在主要或次要诊断中术前有感染或具备潜在高危感染因素的患者"},{"formItemId":1463712829294063618,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713243032793090,"indNo":2,"isActive":1,"desc":"术前24小时-48小时内接受抗菌药物治疗的患者，术后仍需继续使用"},{"formItemId":1463712829294063618,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713243695493121,"indNo":3,"isActive":1,"desc":"在手术两天后，被确诊为感染者并行治疗的患者"},{"formItemId":1463712829294063618,"isDefault":0,"updateDate":1700189310000,"code":"d","id":1463713244458856450,"indNo":4,"isActive":1,"desc":"临床医师认为有继续使用抗菌药物治疗的适应症的患者，并经上级医师认定"},{"formItemId":1463712829294063618,"isDefault":0,"updateDate":1700189310000,"code":"UTD","id":1463713245113167873,"indNo":5,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-1-6-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术后72小时之后继续使用的原因</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463712829294063618" itemCode="CM-1-6-3-2"></div><a id="1463712829294063618_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712829294063618_Note"></span></div></div><div class="itemCat" id="Title5" onclick="objScreen.toggle('DG-5 手术后并发症与再手术情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;DG-5 手术后并发症与再手术情况</div><div title="DG-5 手术后并发症与再手术情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463712831324106754_Row" dic='[{"formItemId":1463712831324106754,"isDefault":0,"updateDate":1704685454000,"code":"y","matchRule":"","updateUser":"admin","id":1463713246379847682,"indNo":1,"isActive":1,"keyword":"","desc":"是"},{"formItemId":1463712831324106754,"isDefault":1,"updateDate":1704685454000,"code":"n","matchRule":"","updateUser":"admin","id":1463713246992216065,"indNo":2,"isActive":1,"keyword":"","desc":"否"}]'><div style="display:inline-block;width:35%;" title="CM-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否有手术后并发症</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712831324106754" itemCode="CM-2-1"></div><a id="1463712831324106754_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712831324106754_Note"></span></div><div class="itemTR" id="1463712833026994178_Row" dic='[{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713248233730050,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713248829321218,"indNo":2,"isActive":1,"desc":"手术并发症(O04.5，T81.1，T81.2，T81.3，T81.7，T81.8)"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713249437495298,"indNo":3,"isActive":1,"desc":"手术患者手术后肺栓塞(I26.9，O04.2，O07.2，O88.2)"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713250028892162,"indNo":4,"isActive":1,"desc":"手术患者手术后深静脉血栓(I80.2，I82.8，O22.3，O87.1)"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"d","id":1463713250637066242,"indNo":5,"isActive":1,"desc":"手术患者手术后败血症(T81.4)"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"e","id":1463713251245240322,"indNo":6,"isActive":1,"desc":"手术患者手术后出血或血肿(O04.1，O04.6，O04.8，O07.1，O07.6，T81.0)"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"f","id":1463713251845025794,"indNo":7,"isActive":1,"desc":"手术患者手术伤口裂开(T81.3)"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"g","id":1463713252449005570,"indNo":8,"isActive":1,"desc":"手术患者猝死（手术后24小时内死亡）(R96.0，R96.1)"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"h","id":1463713253048791042,"indNo":9,"isActive":1,"desc":"手术患者手术后呼吸道并发症(J95.0至J95.9，J96.0，J96.9)"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"i","id":1463713253631799297,"indNo":10,"isActive":1,"desc":"手术患者手术后生理/代谢紊乱(E86.x0，E87.0至E87.8，E88.8，E88.9，E89.0至E89.9)"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"j","id":1463713254219001857,"indNo":11,"isActive":1,"desc":"与手术/操作相关感染(O04.0，O07.0，T81.4)"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"k","id":1463713254822981634,"indNo":12,"isActive":1,"desc":"手术过程中异物遗留(T81.5)"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"l","id":1463713255435350018,"indNo":13,"isActive":1,"desc":"麻醉并发症(T88.2，T88.3，T88.4，T88.5)"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"m","id":1463713256014163969,"indNo":14,"isActive":1,"desc":"输注、输血反应(T80.0至T80.9)"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"n","id":1463713256597172226,"indNo":15,"isActive":1,"desc":"住院患者发生压疮(L89.0至L89.9)"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"o","id":1463713257188569089,"indNo":16,"isActive":1,"desc":"产后出血"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"p","id":1463713258023235586,"indNo":17,"isActive":1,"desc":"产褥期感染"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"q","id":1463713258618826754,"indNo":18,"isActive":1,"desc":"产科栓塞"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"r","id":1463713259206029313,"indNo":19,"isActive":1,"desc":"胎盘和胎膜滞留不伴有出血"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"s","id":1463713259793231874,"indNo":20,"isActive":1,"desc":"产科手术伤口的感染"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"t","id":1463713260393017346,"indNo":21,"isActive":1,"desc":"产科伤口裂开"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"u","id":1463713260976025602,"indNo":22,"isActive":1,"desc":"其他并发症"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"oth","id":1463713261575811074,"indNo":23,"isActive":1,"desc":"其他 (用ICD-10四位亚目和名称说明)"},{"formItemId":1463712833026994178,"isDefault":0,"updateDate":1700189310000,"code":"UTD","id":1463713262221733890,"indNo":24,"isActive":1,"desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="CM-2-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术后并发症类别及ICD-10四位亚目的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712833026994178" itemCode="CM-2-2"><a id="1463712833026994178_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712833026994178_Note"></span></div><div class="itemTR" id="1463712834654384129_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-2-3-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他手术后并发症类别及ICD-10四位亚目和名称填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712834654384129" itemCode="CM-2-3-1-1"><a id="1463712834654384129_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712834654384129_Note"></span></div><div class="itemTR" id="1463712836290162690_Row" dic='[{"formItemId":1463712836290162690,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713263433887745,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712836290162690,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713264130142210,"indNo":2,"isActive":1,"desc":"O04.5医疗性流产,完全性或未特指,并发生殖道和盆腔感染"},{"formItemId":1463712836290162690,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713264939642882,"indNo":3,"isActive":1,"desc":"T81.1在操作中发生或由于操作造成的休克,不可归类在他处者"},{"formItemId":1463712836290162690,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713265585565697,"indNo":4,"isActive":1,"desc":"T81.2在操作中意外的穿刺和撕裂,不可归类在他处者"},{"formItemId":1463712836290162690,"isDefault":0,"updateDate":1700189310000,"code":"d","id":1463713267267481602,"indNo":5,"isActive":1,"desc":"T81.7操作后的血管并发症,不可归类在他处者"},{"formItemId":1463712836290162690,"isDefault":0,"updateDate":1700189310000,"code":"e","id":1463713269846978562,"indNo":6,"isActive":1,"desc":"T81.8操作的其他并发症,不可归类在他处者"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>介入操作与手术其他并发症</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712836290162690" itemCode="CM-2-3-1"><a id="1463712836290162690_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712836290162690_Note"></span></div><div class="itemTR" id="1463712837988855810_Row" dic='[{"formItemId":1463712837988855810,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713271143018498,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712837988855810,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713272736854018,"indNo":2,"isActive":1,"desc":"I26.9肺栓塞未提及急性肺源性心脏病"},{"formItemId":1463712837988855810,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713273466662914,"indNo":3,"isActive":1,"desc":"O04.2医疗性流产,不完全性,并发栓塞"},{"formItemId":1463712837988855810,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713274259386369,"indNo":4,"isActive":1,"desc":"O07.2医疗性流产失败,并发栓塞"},{"formItemId":1463712837988855810,"isDefault":0,"updateDate":1700189310000,"code":"d","id":1463713274968223746,"indNo":5,"isActive":1,"desc":"O88.2产科血凝块栓塞"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后肺栓塞例数</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712837988855810" itemCode="CM-2-3-2"><a id="1463712837988855810_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712837988855810_Note"></span></div><div class="itemTR" id="1463712839612051458_Row" dic='[{"formItemId":1463712839612051458,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713276247486466,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712839612051458,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713276880826369,"indNo":2,"isActive":1,"desc":"I80.2下肢其他深部脉管的静脉炎和血栓性静脉炎"},{"formItemId":1463712839612051458,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713277505777665,"indNo":3,"isActive":1,"desc":"I82.8其他特指的静脉栓塞和血栓形成"},{"formItemId":1463712839612051458,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713278210420738,"indNo":4,"isActive":1,"desc":"O22.3妊娠期深静脉血栓形成"},{"formItemId":1463712839612051458,"isDefault":0,"updateDate":1700189310000,"code":"d","id":1463713278961201153,"indNo":5,"isActive":1,"desc":"O87.1产褥期深静脉血栓形成"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后深静脉血栓例数</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712839612051458" itemCode="CM-2-3-3"><a id="1463712839612051458_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712839612051458_Note"></span></div><div class="itemTR" id="1463712841365270530_Row" dic='[{"formItemId":1463712841365270530,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713280479539202,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712841365270530,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713281200959490,"indNo":2,"isActive":1,"desc":"T81.4操作后的感染,不可归类在他处者"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后败血症例数</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712841365270530" itemCode="CM-2-3-4"></div><a id="1463712841365270530_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712841365270530_Note"></span></div><div class="itemTR" id="1463712843131072513_Row" dic='[{"formItemId":1463712843131072513,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713284136972289,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712843131072513,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713284778700802,"indNo":2,"isActive":1,"desc":"O04.1医疗性流产,不完全性,并发延迟或过度出血"},{"formItemId":1463712843131072513,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713285449789442,"indNo":3,"isActive":1,"desc":"O04.6医疗性流产,完全性或未特指,并发延迟或过度出血"},{"formItemId":1463712843131072513,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713286049574914,"indNo":4,"isActive":1,"desc":"O04.8医疗性流产,完全性或未特指,伴有其他和未特指的并发症"},{"formItemId":1463712843131072513,"isDefault":0,"updateDate":1700189310000,"code":"d","id":1463713286661943297,"indNo":5,"isActive":1,"desc":"O07.1医疗性流产失败,并发延迟或过度出血"},{"formItemId":1463712843131072513,"isDefault":0,"updateDate":1700189310000,"code":"e","id":1463713287442083842,"indNo":6,"isActive":1,"desc":"O07.6其他和未特指的企图流产失败,并发延迟或过度出血"},{"formItemId":1463712843131072513,"isDefault":0,"updateDate":1700189310000,"code":"f","id":1463713288113172481,"indNo":7,"isActive":1,"desc":"T81.0并发于操作的出血和血肿,不可归类在他处者"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术后出血或血肿例数</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712843131072513" itemCode="CM-2-3-5"><a id="1463712843131072513_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712843131072513_Note"></span></div><div class="itemTR" id="1463712844838154242_Row" dic='[{"formItemId":1463712844838154242,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713289631510529,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712844838154242,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713290315182081,"indNo":2,"isActive":1,"desc":"T81.3手术伤口破裂,不可归类在他处者"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术患者手术伤口裂开</div><div 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class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712846629122049" itemCode="CM-2-3-7"><a id="1463712846629122049_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712846629122049_Note"></span></div><div class="itemTR" id="1463712848344592386_Row" 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style="display:inline-block;width:35%;" title="CM-2-3-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>胎盘和胎膜滞留不伴有出血</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712871157411841" itemCode="CM-2-3-18"><a id="1463712871157411841_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712871157411841_Note"></span></div><div class="itemTR" id="1463712872944185346_Row" dic='[{"formItemId":1463712872944185346,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713354588696578,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712872944185346,"isDefault":0,"updateDate":1700189310000,"code":"a","id":1463713355188482050,"indNo":2,"isActive":1,"desc":"O86.0产科手术伤口的感染"}]'><div style="display:inline-block;width:35%;" title="CM-2-3-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>产科手术伤口的感染</div><div 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id="1463712881798361090_Note"></span></div><p title="实施输血及回收式自体输血" class="itemsubCat">实施输血及回收式自体输血</p><div class="itemTR" id="1463712883450916866_Row" dic='[{"formItemId":1463712883450916866,"isDefault":0,"updateDate":1700189310000,"code":"y","id":1463713382929608706,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463712883450916866,"isDefault":0,"updateDate":1700189310000,"code":"n","id":1463713384041099266,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="DG-6-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施输血</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712883450916866" itemCode="DG-6-2-1"></div><a id="1463712883450916866_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712883450916866_Note"></span></div><div class="itemTR" id="1463712885082501122_Row" 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title="DG-6-5-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>全血输血量（ml）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712888643465217" itemCode="DG-6-5-1-1"><a id="1463712888643465217_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712888643465217_Note"></span></div><div class="itemTR" id="1463712890333769729_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-6-5-1-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>成分血输血量（ml）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712890333769729" itemCode="DG-6-5-1-2"><a id="1463712890333769729_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712890333769729_Note"></span></div><div class="itemTR" id="1463712892342841346_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-6-5-1-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血浆输血量（ml）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712892342841346" itemCode="DG-6-5-1-3"><a id="1463712892342841346_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712892342841346_Note"></span></div><div class="itemTR" id="1463712894259638274_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-6-2-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：回收式自体输血量（ml）</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712894259638274" itemCode="DG-6-2-3"><a id="1463712894259638274_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712894259638274_Note"></span></div><div class="itemTR" id="1463712896063188993_Row" dic='[{"formItemId":1463712896063188993,"isDefault":0,"updateDate":1700189310000,"code":"y","id":1463713389967650818,"indNo":1,"isActive":1,"desc":"是"},{"formItemId":1463712896063188993,"isDefault":0,"updateDate":1700189310000,"code":"n","id":1463713390580019201,"indNo":2,"isActive":1,"desc":"否"}]'><div style="display:inline-block;width:35%;" title="DG-6-4-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>是否实施储存式自体输血</div><div class="RadioGroup" style="width:35%;border:0;display:inline-block;" id="1463712896063188993" itemCode="DG-6-4-1"></div><a id="1463712896063188993_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712896063188993_Note"></span></div><div class="itemTR" id="1463712897841573890_Row" dic='[]'><div style="display:inline-block;width:35%;" title="DG-6-4-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：储存式自体输血量(ml)</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712897841573890" itemCode="DG-6-4-1-1"><a id="1463712897841573890_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712897841573890_Note"></span></div></div><div class="itemCat" id="Title7" onclick="objScreen.toggle('DG-7住院期间为患者提供健康教育与出院时提供教育告知五要素情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;DG-7住院期间为患者提供健康教育与出院时提供教育告知五要素情况</div><div title="DG-7住院期间为患者提供健康教育与出院时提供教育告知五要素情况"><p title="术前、术后：健康辅导" class="itemsubCat">术前、术后：健康辅导</p><div class="itemTR" id="1463712899552849922_Row" 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style="display:inline-block;width:35%;" title="DG-7-1-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>术前：健康辅导</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463712899552849922" itemCode="DG-7-1-1"></div><a id="1463712899552849922_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712899552849922_Note"></span></div><div class="itemTR" id="1463712901213794305_Row" 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title="DG-7-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>交与患者“出院小结”的副本告知患者出院时风险因素</div><div class="CheckGroup" style="width:35%;border:0;display:inline-block;" id="1463712902925070337" itemCode="DG-7-2-1"></div><a id="1463712902925070337_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712902925070337_Note"></span></div><div class="itemTR" id="1463712904594403329_Row" 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class="item-source"></a><span style="margin-left:10px;" id="1463712904594403329_Note"></span></div><div class="itemTR" id="1463712906288902145_Row" dic='[{"formItemId":1463712906288902145,"isDefault":1,"updateDate":1704685509000,"code":"a","matchRule":"","updateUser":"admin","id":1463713406610649090,"indNo":1,"isActive":1,"keyword":"","desc":"明确告知药物治疗患者，如果突然异位妊娠破裂症状(停经、阴道出血、腹痛，面色苍白、重者有晕厥和休克等 )，休息仍不能缓解,立即拨打急救电话"},{"formItemId":1463712906288902145,"isDefault":0,"updateDate":1704685509000,"code":"b","matchRule":"","updateUser":"admin","id":1463713407202045954,"indNo":2,"isActive":1,"keyword":"","desc":"由医护人员面授紧急情况时应如何求援救治"},{"formItemId":1463712906288902145,"isDefault":0,"updateDate":1704685509000,"code":"UTD","matchRule":"","updateUser":"admin","id":1463713407793442817,"indNo":3,"isActive":1,"keyword":"","desc":"无法确定或无记录"}]'><div style="display:inline-block;width:35%;" title="DG-7-2-3" class="itemDescTD">告知发生紧急情况时求援救治途径</div><div class="CheckGroup" 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20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712909619179521_Note"></span></div></div><div class="itemCat" id="Title8" onclick="objScreen.toggle('DG-8手术切口愈合情况')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;DG-8手术切口愈合情况</div><div title="DG-8手术切口愈合情况"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463712911309484034_Row" 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style="display:inline-block;width:35%;" title="CM-3-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术野皮肤准备常用方法的选择</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712911309484034" itemCode="CM-3-1"><a id="1463712911309484034_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712911309484034_Note"></span></div><div class="itemTR" id="1463712913087868930_Row" 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style="display:inline-block;width:35%;" title="CM-3-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>使用含抗菌剂（三氯生）缝线</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712913087868930" itemCode="CM-3-2"><a id="1463712913087868930_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712913087868930_Note"></span></div><div class="itemTR" id="1463712914773979138_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-3-2-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他含抗菌剂缝线填写</div><input placeholder="点击输入" class="Text" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712914773979138" itemCode="CM-3-2-1"><a id="1463712914773979138_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712914773979138_Note"></span></div><div 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style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712940841578497_Note"></span></div><div class="itemTR" id="1463712942754181121_Row" dic='[{"formItemId":1463712942754181121,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713478492631042,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712942754181121,"isDefault":1,"updateDate":1701949630000,"code":"a","updateUser":"batch","id":1463713479071444994,"indNo":2,"isActive":1,"desc":"患者说他们的护士“总是”很好沟通"},{"formItemId":1463712942754181121,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713479654453250,"indNo":3,"isActive":1,"desc":"患者说他们的护士“经常”很好沟通"},{"formItemId":1463712942754181121,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713480392650753,"indNo":4,"isActive":1,"desc":"患者说他们的护士“有时”或“从不”很好沟通"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护士沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712942754181121" itemCode="CM-5-2-7"><a id="1463712942754181121_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712942754181121_Note"></span></div><div class="itemTR" id="1463712944629035009_Row" dic='[{"formItemId":1463712944629035009,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713481613193217,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712944629035009,"isDefault":1,"updateDate":1701949637000,"code":"a","updateUser":"batch","id":1463713482208784386,"indNo":2,"isActive":1,"desc":"患者说医院员工在给药前“总是”进行药品说明"},{"formItemId":1463712944629035009,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713482808569858,"indNo":3,"isActive":1,"desc":"患者说医院员工在给药前“经常”进行药品说明"},{"formItemId":1463712944629035009,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713483412549634,"indNo":4,"isActive":1,"desc":"患者说医院员工在给药前“有时”或“从不”进行药品说明"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>药师沟通</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712944629035009" itemCode="CM-5-2-8"><a id="1463712944629035009_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712944629035009_Note"></span></div><div class="itemTR" id="1463712946361282561_Row" dic='[{"formItemId":1463712946361282561,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713484603731970,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712946361282561,"isDefault":1,"updateDate":1701949643000,"code":"a","updateUser":"batch","id":1463713485195128834,"indNo":2,"isActive":1,"desc":"患者说医生护士已经提供了出院后在家康复期间应该做什么的信息"},{"formItemId":1463712946361282561,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713485778137089,"indNo":3,"isActive":1,"desc":"患者说医生护士说了出院后要在家做康复，但没有理解应该具体如何做"},{"formItemId":1463712946361282561,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713486369533953,"indNo":4,"isActive":1,"desc":"患者说医生护士没有提供出院后在家康复期间应该做什么的信息"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复计划</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712946361282561" itemCode="CM-5-2-9"><a id="1463712946361282561_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712946361282561_Note"></span></div><div class="itemTR" id="1463712948122890242_Row" dic='[{"formItemId":1463712948122890242,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713487552327682,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712948122890242,"isDefault":1,"updateDate":1701949655000,"code":"a","updateUser":"batch","id":1463713488181473282,"indNo":2,"isActive":1,"desc":"患者强烈同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463712948122890242,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713488890310658,"indNo":3,"isActive":1,"desc":"患者同意医生护士在离院时理解了他们的知情告知"},{"formItemId":1463712948122890242,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713489477513217,"indNo":4,"isActive":1,"desc":"患者在离院时不理解医生护士的知情告知"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>出院时的知情告知</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712948122890242" itemCode="CM-5-2-10"><a id="1463712948122890242_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712948122890242_Note"></span></div><div class="itemTR" id="1463712950769496066_Row" dic='[{"formItemId":1463712950769496066,"isDefault":0,"updateDate":1700189310000,"code":"def","id":1463713490907770882,"indNo":1,"isActive":1,"desc":"请选择"},{"formItemId":1463712950769496066,"isDefault":1,"updateDate":1701949661000,"code":"a","updateUser":"batch","id":1463713491637579777,"indNo":2,"isActive":1,"desc":"患者给医院膳食评分9或10分"},{"formItemId":1463712950769496066,"isDefault":0,"updateDate":1700189310000,"code":"b","id":1463713492317057025,"indNo":3,"isActive":1,"desc":"患者给医院膳食评分7或8分"},{"formItemId":1463712950769496066,"isDefault":0,"updateDate":1700189310000,"code":"c","id":1463713492933619713,"indNo":4,"isActive":1,"desc":"患者给医院膳食评分6分及以下"}]'><div style="display:inline-block;width:35%;" title="CM-5-2-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>膳食评价</div><input placeholder="点击选择" class="Combo" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712950769496066" itemCode="CM-5-2-11"><a id="1463712950769496066_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712950769496066_Note"></span></div></div><div class="itemCat" id="Title11" onclick="objScreen.toggle('DG-11 住院费用')"><span style="background-color:#027DFF">&nbsp;&nbsp;</span>&nbsp;&nbsp;DG-11 住院费用</div><div title="DG-11 住院费用"><p title="一般信息" class="itemsubCat">一般信息</p><div class="itemTR" id="1463712952619184130_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-1" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712952619184130" itemCode="CM-6-1"><a id="1463712952619184130_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712952619184130_Note"></span></div><div class="itemTR" id="1463712954456289281_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-2" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>住院总费用其中自付金额</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712954456289281" itemCode="CM-6-2"><a id="1463712954456289281_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712954456289281_Note"></span></div><div class="itemTR" id="1463712956134010882_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-3" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般医疗服务费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712956134010882" itemCode="CM-6-3"><a id="1463712956134010882_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712956134010882_Note"></span></div><div class="itemTR" id="1463712957841092610_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-4" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>一般治疗操作费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712957841092610" itemCode="CM-6-4"><a id="1463712957841092610_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712957841092610_Note"></span></div><div class="itemTR" id="1463712959929856001_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-5" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>护理费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712959929856001" itemCode="CM-6-5"><a id="1463712959929856001_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712959929856001_Note"></span></div><div class="itemTR" id="1463712961586606081_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-6" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>综合医疗服务类其他费用</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712961586606081" itemCode="CM-6-6"><a id="1463712961586606081_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712961586606081_Note"></span></div><div class="itemTR" id="1463712963281104897_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-7" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>病理诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712963281104897" itemCode="CM-6-7"><a id="1463712963281104897_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712963281104897_Note"></span></div><div class="itemTR" id="1463712964912689153_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-8" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>实验室诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712964912689153" itemCode="CM-6-8"><a id="1463712964912689153_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712964912689153_Note"></span></div><div class="itemTR" id="1463712966565244930_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-9" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>影像学诊断费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712966565244930" itemCode="CM-6-9"><a id="1463712966565244930_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712966565244930_Note"></span></div><div class="itemTR" id="1463712968305881089_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-10" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>临床诊断项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712968305881089" itemCode="CM-6-10"><a id="1463712968305881089_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712968305881089_Note"></span></div><div class="itemTR" id="1463712969966825473_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-11" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>非手术治疗项目费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712969966825473" itemCode="CM-6-11"><a id="1463712969966825473_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712969966825473_Note"></span></div><div class="itemTR" id="1463712971824902146_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-12" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：临床物理治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712971824902146" itemCode="CM-6-12"><a id="1463712971824902146_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712971824902146_Note"></span></div><div class="itemTR" id="1463712973628452866_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-13" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712973628452866" itemCode="CM-6-13"><a id="1463712973628452866_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712973628452866_Note"></span></div><div class="itemTR" id="1463712975520083969_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-14" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：麻醉费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712975520083969" itemCode="CM-6-14"><a id="1463712975520083969_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712975520083969_Note"></span></div><div class="itemTR" id="1463712977214582785_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-15" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：手术费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712977214582785" itemCode="CM-6-15"><a id="1463712977214582785_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712977214582785_Note"></span></div><div class="itemTR" id="1463712978921664514_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-16" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>康复费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712978921664514" itemCode="CM-6-16"><a id="1463712978921664514_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712978921664514_Note"></span></div><div class="itemTR" id="1463712980595191810_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-17" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中医治疗费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712980595191810" itemCode="CM-6-17"><a id="1463712980595191810_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712980595191810_Note"></span></div><div class="itemTR" id="1463712983514427393_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-18" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>西药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712983514427393" itemCode="CM-6-18"><a id="1463712983514427393_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712983514427393_Note"></span></div><div class="itemTR" id="1463712985380892673_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-19" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其中：抗菌药物费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712985380892673" itemCode="CM-6-19"><a id="1463712985380892673_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712985380892673_Note"></span></div><div class="itemTR" id="1463712987037642754_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-20" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中成药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712987037642754" itemCode="CM-6-20"><a id="1463712987037642754_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712987037642754_Note"></span></div><div class="itemTR" id="1463712988727947265_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-21" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>中草药费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712988727947265" itemCode="CM-6-21"><a id="1463712988727947265_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712988727947265_Note"></span></div><div class="itemTR" id="1463712990774767618_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-22" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>血费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712990774767618" itemCode="CM-6-22"><a id="1463712990774767618_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712990774767618_Note"></span></div><div class="itemTR" id="1463712992628649985_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-23" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>白蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712992628649985" itemCode="CM-6-23"><a id="1463712992628649985_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712992628649985_Note"></span></div><div class="itemTR" id="1463712994235068417_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-24" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>球蛋白类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712994235068417" itemCode="CM-6-24"><a id="1463712994235068417_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712994235068417_Note"></span></div><div class="itemTR" id="1463712996047007746_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-25" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>凝血因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712996047007746" itemCode="CM-6-25"><a id="1463712996047007746_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712996047007746_Note"></span></div><div class="itemTR" id="1463712997716340737_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-26" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>细胞因子类制品费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712997716340737" itemCode="CM-6-26"><a id="1463712997716340737_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712997716340737_Note"></span></div><div class="itemTR" id="1463712999335342081_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-27" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>检查用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463712999335342081" itemCode="CM-6-27"><a id="1463712999335342081_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463712999335342081_Note"></span></div><div class="itemTR" id="1463713000979509250_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-28" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>治疗用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463713000979509250" itemCode="CM-6-28"><a id="1463713000979509250_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463713000979509250_Note"></span></div><div class="itemTR" id="1463713002741116929_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-29" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>手术用一次性医用材料费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463713002741116929" itemCode="CM-6-29"><a id="1463713002741116929_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463713002741116929_Note"></span></div><div class="itemTR" id="1463713004527890433_Row" dic='[]'><div style="display:inline-block;width:35%;" title="CM-6-30" class="itemDescTD"><span name="isNeeded" style="color:red">*</span>其他费</div><input placeholder="点击输入" class="Num" type="text" style="width:35%;border:0;height:28px;line-height:28px;" id="1463713004527890433" itemCode="CM-6-30"><a id="1463713004527890433_Source" style="width: 20px;margin-left:20px;" class="item-source"></a><span style="margin-left:10px;" id="1463713004527890433_Note"></span></div></div></div></div><div id='anchor' class='anchor'><ul class='anchor-list'><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title0'>基本信息</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title1'>DG-1患者入院病情评估</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title2'>DG-2药物治疗情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title3'>DG-3手术治疗情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title4'>DG-4 围术期抗菌药物使用情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title5'>DG-5 手术后并发症与再手术情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title6'>DG-6输血量</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title7'>DG-7住院期间为患者提供健康教育与出院时提供教育告知五要素情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title8'>DG-8手术切口愈合情况</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title9'>DG-9 离院方式</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title10'>DG-10 患者对服务的体验与评价</a></li><li style='overflow:hidden;white-space:nowrap;'><div class='circle'></div><a href='#Title11'>DG-11 住院费用</a></li></ul></div>
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